US20120053406A1 - Minimally invasive surgery - Google Patents
Minimally invasive surgery Download PDFInfo
- Publication number
- US20120053406A1 US20120053406A1 US12/873,845 US87384510A US2012053406A1 US 20120053406 A1 US20120053406 A1 US 20120053406A1 US 87384510 A US87384510 A US 87384510A US 2012053406 A1 US2012053406 A1 US 2012053406A1
- Authority
- US
- United States
- Prior art keywords
- laparoscopic
- surgical kit
- percutaneous
- kit
- surgical
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
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Images
Classifications
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- A61B17/34—Trocars; Puncturing needles
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- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
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- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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- A61B2017/00238—Type of minimally invasive operation
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- A61B90/361—Image-producing devices, e.g. surgical cameras
Definitions
- FIG. 4 depicts an example of a single port surgical kit
- the step of manipulating tissue comprises performing one of an appendectomy, a cholecystectomy, a sleeve gastrectomy, a gastric bypass, or a greater curvature plication.
- a sterile sealed surgical kit comprises two percutaneous instruments each having an elongate shaft with a distal end and a proximal end connected to a handle; at least two end effectors attachable and detachable to the distal ends of the percutaneous instruments; a laparoscopic loader adapted to receive the end effectors; a trocar; and a laparoscopic energy based clamping and coagulating device.
- the kit may further comprising a laparoscopic suture device.
- the surgical kit may also comprises a magnetic camera and/or an magnetic external control unit adapted to anchor a magnetic camera.
- the magnetically anchored camera ( 42 ) eliminates the need for a dedicated access port normally required during traditional laparoscopic surgery, and further provides more options for the surgeon to change the camera's perspective during surgery. Still another advantage is that a traditional trocar may be used (typically 12 mm in size or less), which is smaller in diameter than other single port surgical options, thus reducing the size of the incision and attendant postoperative scarring and pain. Smaller ports also reduce the risk of herniation and the need for fascia closure. In yet another advantage, the spacing of the instruments ( 32 , 54 , 64 ) provide superior triangulation compared to other single port surgical options that try to pass multiple instrument simultaneously through the same port, thus facilitating simplifying access to tissue and improving surgeon leverage and comfort during surgery.
- the kit ( 200 ) further includes a traditional laparoscopic clip applier ( 225 ), such a LIGAMAX or ENDO CLIP clip appliers.
- the kit ( 200 ) further includes a traditional laparoscopic specimen retrieval device ( 226 ), such an ENDOPOUCH or ENDOBAG specimen retrievers.
- the kit ( 200 ) may optionally include a camera ( 42 ) and/or an external control unit ( 46 ).
- the kit ( 300 ) further includes a traditional laparoscopic surgical stapler ( 325 ) with cartridge reloads ( 326 ).
- the kit ( 300 ) also includes an energy based clamping and coagulating device ( 327 ), such as an ACE ultrasonic shears or LIGASURE bi-polar hemostatic tool.
- the kit ( 300 ) may optionally include a camera ( 42 ) and/or an external control unit ( 46 ).
- FIG. 6 illustrates an example of a minimally invasive surgical kit ( 400 ).
- the components of the kit ( 400 ) are preferably organized in a tray ( 410 ) and stored in a sterile sealed package.
- the kit ( 400 ) includes a 5 mm trocar ( 420 ), two percutaneous instruments ( 421 , 422 ), a loader ( 423 ), and two or more end effectors ( 424 ) attachable to percutaneous instruments.
- the end effectors ( 424 ) may include graspers (but other end effectors could also be used) and may be preloaded in sleeves for easy attachment to the loader ( 423 ).
- the kit ( 400 ) includes an energy based clamping and coagulating device ( 425 ).
- the kit ( 400 ) also includes a multifeed stapler ( 426 ), such the device described in US patent publication 20100187284.
- the kit ( 400 ) may optionally include a camera ( 42 ) and/or an external control unit ( 46 ).
- the kit ( 600 ) may be used for a variety of surgical procedures.
- the surgeon may accesses the abdomen by create incision at the umbilicus, inserting the trocar ( 620 ), and establishing pneumoperitoneum.
- the trocar ( 620 ) may then be removed and the camera ( 62 ) inserted through the incision and then attracted to the body wall ( 10 ) using external control unit ( 66 ).
- the camera ( 62 ) can now be manipulated into the desired viewing position.
- the trocar ( 620 ) may be reinserted alongside the tether ( 64 ).
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Ophthalmology & Optometry (AREA)
- Pathology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/873,845 US20120053406A1 (en) | 2010-09-01 | 2010-09-01 | Minimally invasive surgery |
| US12/873,829 US20120053402A1 (en) | 2010-09-01 | 2010-09-01 | Minimally invasive surgery |
| PCT/US2011/050198 WO2012031114A2 (fr) | 2010-09-01 | 2011-09-01 | Chirurgie améliorée très peu invasive |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/873,845 US20120053406A1 (en) | 2010-09-01 | 2010-09-01 | Minimally invasive surgery |
| US12/873,829 US20120053402A1 (en) | 2010-09-01 | 2010-09-01 | Minimally invasive surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US20120053406A1 true US20120053406A1 (en) | 2012-03-01 |
Family
ID=45773523
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US12/873,845 Abandoned US20120053406A1 (en) | 2010-09-01 | 2010-09-01 | Minimally invasive surgery |
| US12/873,829 Abandoned US20120053402A1 (en) | 2010-09-01 | 2010-09-01 | Minimally invasive surgery |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US12/873,829 Abandoned US20120053402A1 (en) | 2010-09-01 | 2010-09-01 | Minimally invasive surgery |
Country Status (2)
| Country | Link |
|---|---|
| US (2) | US20120053406A1 (fr) |
| WO (1) | WO2012031114A2 (fr) |
Cited By (197)
| Publication number | Priority date | Publication date | Assignee | Title |
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| US20130338658A1 (en) * | 2012-06-19 | 2013-12-19 | Gabriel Zada | Multi-functional surgical cautery device, system and method of use |
| US20140192179A1 (en) * | 2013-01-09 | 2014-07-10 | Inspectron, Inc. | Remote inspection device |
| US8939343B2 (en) | 1997-09-23 | 2015-01-27 | Covidien Lp | Surgical stapling apparatus including a drive beam |
| CN104434238A (zh) * | 2014-12-20 | 2015-03-25 | 安徽奥弗医疗设备科技有限公司 | 一种腹腔镜线结推送缝合装置 |
| US9289211B2 (en) | 2013-03-13 | 2016-03-22 | Covidien Lp | Surgical stapling apparatus |
| US9445811B2 (en) | 2008-09-23 | 2016-09-20 | Covidien Lp | Knife bar for surgical instrument |
| US9498216B2 (en) | 2011-12-01 | 2016-11-22 | Covidien Lp | Surgical instrument with actuator spring arm |
| US9526516B2 (en) | 2012-09-26 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Detachable end effector and loader |
| US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
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Also Published As
| Publication number | Publication date |
|---|---|
| WO2012031114A2 (fr) | 2012-03-08 |
| WO2012031114A3 (fr) | 2012-04-26 |
| US20120053402A1 (en) | 2012-03-01 |
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